Frank George Balestrery, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT 7720 TLG Issued in CA

Practice address

4598 S Tracy Blvd
Tracy, CA 95377-8106

Phone

(209) 835-1181

Fax

(209) 835-9396

NPI assigned

Jun 12, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Eaton Optometric Group

  • Optometrist
  • Tracy, CA
  • NPI 1699894774
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1273276800000",
    "number": "1194767160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8729 W ETCHEVERRY DR",
            "city": "TRACY",
            "state": "CA",
            "postal_code": "953048105",
            "telephone_number": "209-835-8634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4598 S TRACY BLVD",
            "city": "TRACY",
            "state": "CA",
            "postal_code": "953778106",
            "telephone_number": "209-835-1181",
            "fax_number": "209-835-9396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALESTRERY",
        "first_name": "FRANK",
        "middle_name": "GEORGE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-12",
        "last_updated": "2010-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT 7720 TLG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0077200",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Feng Bai, MD
• Jennifer Bailey, MD
• Ariesa Bajao
• Prabsimran Bajwa
• Caleb Baker-Hayes
• Agnes Balza
• James Leslie Balzer, PHARMD
• Christina Bamrud
• Pooja Banerjee
• Neelesh S Bangalore, MD, PHD

• Optometrist in Tracy, CA
• Providers in Tracy, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.